Clinical Study Laparoscopic versus Open Surgery for Colorectal Cancer: A Retrospective Analysis of 163 Patients in a Single Institution
|
|
- Russell McDowell
- 5 years ago
- Views:
Transcription
1 Minimally Invasive Surgery, Article ID , 6 pages Clinical Study Laparoscopic versus Open Surgery for Colorectal Cancer: A Retrospective Analysis of 163 Patients in a Single Institution Abdulkadir Bedirli, Bulent Salman, and Osman Yuksel Department of General Surgery, Gazi University Medical Faculty, Besevler, Ankara, Turkey Correspondence should be addressed to Abdulkadir Bedirli; bedirlia@gazi.edu.tr Received 4 August 2014; Revised 27 October 2014; Accepted 28 October 2014; Published 23 November 2014 Academic Editor: Chin-Jung Wang Copyright 2014 Abdulkadir Bedirli et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Background. The present study aimed to compare the clinical outcomes of laparoscopic versus open surgery for colorectal cancers. Materials and Methods. The medical records from a total of 163 patients who underwent surgery for colorectal cancers were retrospectively analyzed. Patient s demographic data, operative details and postoperative early outcomes, outpatient follow-up, pathologic results, and stages of the cancer were reviewed from the database. Results. The patients who underwent laparoscopic surgery showed significant advantages due to the minimally invasive nature of the surgery compared with those who underwent open surgery, namely, less blood loss, faster postoperative recovery, and shorter postoperative hospital stay (P < 0.05). However, laparoscopic surgery for colorectal cancer resulted in a longer operative time compared with open surgery (P < 0.05). There were no statistically significant differences between groups for medical complications (P > 0.05). Open surgery resulted in more incisional infections and postoperative ileus compared with laparoscopic surgery (P < 0.05). There were no differences in the pathologic parameters between two groups (P < 0.05). Conclusions. These findings indicated that laparoscopic surgery for colorectal cancer had the clear advantages of a minimally invasive surgery and relative disadvantage with longer surgery time and exhibited similar pathologic parameters compared with open surgery. 1. Introduction Colorectal cancer remains the third most common cancer diagnosed and the third most common cause of cancer death in both sexes in industrialized nations [1]. Although many studies have suggested that laparoscopic surgery is superior to open surgery, the acceptance of this technique for colorectal cancer has been rather slow in clinical practice [2, 3]. One of the reasons for the low penetration of this procedure is laparoscopic colon resections which are technically demanding procedures and as such were initially prohibitive for the majority of surgeons [4]. To successfully complete each component of the operation (mobilization of colon,dissectionanddivisionofmajorvessels,removing thespecimen,andanastomosis),thesurgeonmustpossess advanced laparoscopic skills, including the ability to operate and recognize anatomy from multiple viewpoints [5]. Concerning the oncologic safety of the laparoscopic approach to colorectal cancers, multiple randomized controlled studies demonstrated that oncological outcomes of laparoscopic surgery were similar to open surgery [6, 7]. The benefits of laparoscopic colorectal surgery are seen in terms of reduced blood loss, less postoperative pain, better pulmonary function, faster return of bowel function, fewer complications, and shorter hospital stay [3, 8]. However, despite the theoretical short-term advantages and equivalent cancer outcomes, adoption rates of laparoscopic colorectal surgery remain low in Europe and USA. The aim of this retrospective review is to assess the feasibility and oncologic adequacy of laparoscopic surgery comparing the operative characteristics and short-term oncological outcomes for laparoscopic surgery with conventional open surgery in patients with colorectal cancer over a period of 3 years in our center.
2 2 Minimally Invasive Surgery 2. Materials and Methods Between January 2011 and January 2014, we retrospectively analyzed a database containing information about who underwent laparoscopic or open surgery for stage I III colorectalcanceratgaziuniversityhospital,ankara.patient s demographic data, operative details and postoperative early outcomes, outpatient follow-up, pathologic results, and stages ofthecancerwerereviewedfromthedatabase.allpatients had histologically verified carcinoma of the colon or rectum. The definitive staging in all patients was established via pathological examination of the resected specimens. Operative time was calculated as the time between laparotomy and skin suture for open surgery and pneumoperitoneum induction and port-site closure for laparoscopic surgery. For this study, we analyzed 65 patients who underwent laparoscopic colorectal surgery () and their results with those of matched 98 patients from our colorectal resection database who had undergone conventional open colorectal surgery () during the same period. Patients with synchronous tumors, tumors located in the transverse colon, stage 0 and IV tumors, and previous malignant tumor and those requiring total colectomy, abdominoperineal resections, or urgent surgery were excluded. All patients and their families were correctly informed and gave their full consent before surgery Operation Technique. All operations were performed by the same surgical team that had wide experience with open and laparoscopic colorectal surgery. All patients had bowel preparation with polyethylene glycol, low molecular weight heparin, and intravenous gentamicin plus metronidazole. For laparoscopic resections, pneumoperitoneum with an intra-abdominal pressure between 12 and 14 mmhg was maintained throughout the operation. The first step of the laparoscopic operation is dissection of the colon from medial to lateral and vessel ligation. In right colon operations, specimen is taken out from the incision and the anastomosis is performed extracorporeally with linear stapler. In the left colon and rectum operations, distal resection is performed laparoscopically and proximal end is taken out from the suprapubic incision. After placing the anvil outside, anastomosis is performed intracorporeally. In all patients, a port wound was extended to deliver the specimen under the protection of a plastic ring. A no-touch technique was also used in the open group. Anterior or low anterior resection is performed in rectum tumors according to the localization. Temporary ileostomy is mostly performed in low anterior resection cases. Patients in both groups underwent routine operation according to the complete mesocolic or mesorectal excision principles. A low-vacuum drainage system was left at the resection site at the end of all operations. Postoperative ileus was defined when insertion of a nasogastric tube was needed and/or there were nausea and vomiting that delayed oral intake for more than 2 days. Patients were discharged when a soft diet was tolerated and they were ambulatory Outcome Measures and Statistical Analyses. Clinicopathological characteristics, postoperative outcomes, hospital stay, postoperative morbidity and mortality, and shortterm oncological outcomes, including the number of lymph nodes retrieved, the distal margin, radial margin, and pathological staging, were compared. The mean values were compared using paired and unpaired Student s t-test. The frequency and distribution were compared using chi-squared test. Statistical significance was assumed when the P value was <0.05.TheseanalyseswereperformedusingSPSS10.0 software (SPSS, Chicago, IL, USA). 3. Results Ninety-eight patients in the were compared with 65 patients in the. The patient demographic and pathologic characteristics are described in Table 1.Baseline characteristics, including age, sex, surgical risks as assessed by the American Society of Anesthesiologists (ASA), tumor location, and surgical procedures, were similar between thetwogroups.protectiveileostomywasperformedin23 patients (23%) in and 19 patients (29%) in. The proportion of patients submitted to neoadjuvant chemoradiotherapy was also similar between the two groups. The operation time was significantly longer in LCRS group (216 ± 53 min) when compared with (172 ± 48 min) (P < 0.05). Total amount of blood loss was significantly higher in (220 ± 45 ml) when compared with (140 ± 35 ml) (P < 0.05). There is no conversion to open surgery in. Patients in the showed a significantly faster postoperative recovery, including faster first flatus time, onset time of the liquid, and normal diet (P < 0.05). Despite the similar stay in intensive care unit, total hospital stay was significantly longer for than (Table 2). Postoperative details are given in Table 3.No intraoperative complications were reported in both groups. One postoperative death was observed in due to a severe pneumosepsis. No significant difference was seen between groups for medical complications (P > 0.05). One patient in and 9 patients in have incisional infections (P < 0.05). As for major complications, anastomotic leaks were observed in two patients in LCRS group (one right hemicolectomy and one low anterior resection) and three patients in OCRS (one right hemicolectomy and two low anterior resections) (P > 0.05). Two patients in and 5 patients in suffered postoperative ileus (P < 0.05). All the resections in both groups were performed to remove a malignancy. Most frequent histologic types were moderately differentiated adenocarcinoma in both groups. The mean number of lymph nodes harvested was comparable between LCRS and s, 19 ± 7 versus 23 ± 8, respectively. The ratio of patients with stage III tumors was relatively higher in the. However, none of these pathologic parameters showed statistical differences between two groups (P > 0.05)(Table 4).
3 Minimally Invasive Surgery 3 Table 1: Patient and tumor characteristics. Age (y), mean ± SD 57.7 ± ± 11.1 Gender (male/female) 38/27 56/42 ASA (%) I 16 (25) 22 (22) II 29 (44) 45 (46) III 20 (31) 31 (32) Tumor distribution (%) Right colon 17 (26) 31 (32) Left colon 6(9) 7(7) Sigmoid colon 13 (20) 24 (24) Rectum 29 (45) 36 (37) Operation (%) Right hemicolectomy 17 (26) 31 (32) Left hemicolectomy 6(9) 7(7) Sigmoid resection 11 (17) 10 (10) Anterior resection 9(14) 21(21) Low anterior resection 22 (34) 29 (30) Protective ileostomy: yes (%) 19 (29) 23 (23) Neoadjuvant chemoradiotherapy: yes (%) 17 (26) 22 (22) : not significant. ASA: American Society of Anesthesiologist. Chi-square test. P Table 2: Operative and postoperative results of the two patient groups. P Operation time (min), mean ± SD 216 ± ± Operative blood loss (ml), mean ± SD 140 ± ± Time to flatus (d), mean ± SD 1.6 ± ± Time to liquid diet (d), mean ± SD 2.3 ± ± Time to normal diet (d), mean ± SD 3.4 ± ± Stay in ICU (d), mean ± SD 2.3 ± ± 4.4 Total hospital stay (d), mean ± SD 4.5 ± ± : not significant. ICU: intensive care unit. Student s t-test. 4. Discussion This study compares the short-term surgical outcomes of 163 consecutive patients undergoing open or laparoscopic surgery for colorectal cancer. Compared with open surgery, laparoscopic surgery at our institution was associated with slightly longer operative time, significantly faster postoperative recovery, lower incisional infections and postoperative ileus, and similar pathologic results. Laparoscopic colorectal surgery in particular has raised the last decade after multiple, large, randomized, controlled trials in colorectal cancer have displayed that this approach is safe and with equal oncological results as open surgery [6, 9, 10]. Despite similar cancer outcomes and postoperative advantages in laparoscopic surgery, most colorectal cancers are treated by open surgery. The main barrier to widespread adoptionhasbeenthetechnicaldifficultyoftheseoperations [4]. Laparoscopic colorectal surgery demands not only the experiences in open surgery of colon and rectum but also skills in advanced laparoscopic techniques. At the beginning, operation time is the one of the much discussed subjects in laparoscopic surgery. When 4125 cases which were collected from the related randomised clinical studies were evaluated, it was seen that the operation time in laparoscopic surgery is significantly longer than open surgery [11]. When we look at the progress of the laparoscopic surgery teams, it is clearly seen that the operation time is significantly decreased with the experience [12]. In our study, the mean
4 4 Minimally Invasive Surgery Table 3: Postoperative morbidity and mortality. P Incision infection 1(2) 9(9) Anastomotic leakage 2 (3) 3 (3) Postoperative ileus 2 (3) 5 (5) Major medical complication (%) Pneumonia 3 (5) 3 (3) Cardiac decompensation 1(2) Myocardial infarction 1(2) 1(1) Renal failure 1 (1) Cerebrovascular accident 1 (1) Death in hospital 1 (1) : not significant. Student s t-test. Table 4: Comparison of the pathological parameters in two groups. Number of lymph nodes, mean ± SD 19 ± 7 23± 8 Histology (%) Well-differentiated adenocarcinoma 16 (25) 20 (20) Moderately differentiated adenocarcinoma 29 (45) 41 (42) Poorly differentiated adenocarcinoma 17 (26) 31 (32) Others 3 (4) 6 (6) Tumor stage (TNM) (%) I 7 (11) 7 (7) II-A 14 (21) 17 (17) II-B 17 (26) 27 (28) III-A 9(14) 19(20) III-B 11 (17) 16 (16) III-C 7 (11) 12 (12) : not significant. P time difference between laparoscopy and open surgery was around 40 minutes. In previous studies, it was found that intraoperatively the amount of blood loss in laparoscopic surgery was significantly less than in the open surgery [2, 11]. Although measurement of intraoperative blood loss is hard to standardize, it is obvious that blood loss is minimal because of high definition and large view and fine dissection in laparoscopic surgery. Similar to the previous studies, the amount of blood loss in was significantly higher than the in our study. As being a difficult operation, conversion to open surgery can be an option during laparoscopic colorectal surgery in some instances. The rate of conversion to open surgery has been reported between 10 and 15% in different series [13, 14]. Restrictive factors for the reasons to conversion to open surgery are obesity, type of surgery, ASA scores of the patients, large tumor, intra-abdominal adhesions, technical problems, organ injuries, being unable to see the operation area, being unable to free the structures, unsafe tumor resection site, and difficulties in anastomosis. There has not been any conversion to open surgery in our study. Surgical experience and careful patient selection can be accepted as the reasons for the lack of conversion to open surgery. In our study, anastomotic leak rate was low overall (3%), with two patients in the and three patients in the. Leak rates for open surgery were from 2.4% to 6.8% [15, 16]. In meta-analyses comparing outcomes in laparoscopic colorectal surgery by Kelly and colleagues, the overall rate of anastomotic leak rate was 2.7% [17]. It is well documented that postoperative complications are decreasing with the increased surgical experience especially anastomosis leakage, intra-abdominal infection, and mortality [4, 5]. Largenumberofrandomizedcontrolledtrialscomparing laparoscopic to open surgery for colon cancer have established better short-term results, less pain, shorter length of stay, faster return of bowel function, and equivalent oncological outcomes [2, 3]. Laparoscopic rectal surgery is stilldevelopingwithpromisingshort-termbenefit,although
5 Minimally Invasive Surgery 5 depending on the skills and techniques of the surgeon [5]. According to the COLOR study, the increased number of the patients treated with laparoscopy at an institution closely related with the improved short-term results of the operations [8]. In our study, the benefits of laparoscopic colorectal surgery are seen in terms of reduced blood loss, faster return of bowel function, fewer surgical complications, and shorter hospital stay. After the initial description in 1991, several reports of laparoscopic colectomy for colorectal cancer were described. Significant concerns regarding this approach surfaced when minimally invasive techniques applied to colorectal malignancy lead to increased surgical complications and worse cancer outcomes compared to conventional open approaches. Although well-defined method of laparoscopic surgery for colorectal cancer, surgery should be performed by expert surgeons in selected patients. One of the important parameters in oncological surgery is dissected lymph nodes. At least 12 lymph nodes should be resected for a sufficient lymph node dissection. The status of lymph nodes is closely related with prognosis and the adjuvant treatment protocol. For this reason, the number of resected lymph nodes is an important oncological parameter in laparoscopy also. In our study, mean 19 and 23 lymph nodes were resected from the patients in the LCRS and s, respectively. Sufficient number of resected lymph nodes shows appropriate mesorectum and mesocolic dissection in our study. In several previous studies, the number of resected lymph nodes is found to be increased with the increased experience [18, 19]. Similarly in our study the number of resected lymph nodes significantly increased after the learning curve period. In the COST and COLOR studies, it is advised to operate the patients with small tumors (T1, T2) or easy cases like sigmoid tumors in learning curve periods and then operate big tumors (T3, T4) and difficult cases like low anterior resections when more experience has been gained [20, 21]. 5. Conclusion It has been demonstrated in the literature that laparoscopic colorectal surgery is safe and feasible, with an oncological adequacy comparable to the open approach. But apart from these published data, open surgery is still performed more frequently worldwide. So we believe that it is important to share clinics own experiences on laparoscopic colorectal surgery. Supporting the literature results of this study showed that laparoscopic colorectal surgery is convenient and less invasiveandprobablycouldbethefirstchoiceofintervention for colorectal cancers. In our series, the operating time represents a disadvantage for laparoscopic surgery; however, we think that this might be overcome with increased experience. Conflict of Interests The authors declare that there is no conflict of interests regarding the publication of this paper. References [1] R. Siegel, D. Naishadham, and A. Jemal, Cancer statistics, 2013, CA:ACancerJournalforClinicians,vol.63,no.1,pp.11 30,2013. [2]J.D.Rea,M.M.Cone,B.S.Diggs,K.E.Deveney,K.C.Lu, and D. O. Herzig, Utilization of laparoscopic colectomy in the United States before and after the clinical outcomes of surgical therapy study group trial, Annals of Surgery,vol.254,no.2,pp , [3]G.D.McKay,M.J.Morgan,S.-K.C.Wongetal., Improved short-term outcomes of laparoscopic versus open resection for colon and rectal cancer in an area health service: a multicenter study, Diseases of the Colon and Rectum, vol.55,no.1,pp.42 50, [4] L. L. SwanströmandN.J.Soper,Eds.,Mastery of Endoscopic and Laparoscopic Surgery, Lippincott Williams & Wilkins, Philadelphia, Pa, USA, 4th edition, [5]N.T.NguyenandC.E.H.Scott-Conner,Eds.,The SAGES Manual, Springer, New York, NY, USA, 3rd edition, [6] J. Fleshman, D. J. Sargent, E. Green et al., Laparoscopic colectomy for cancer is not inferior to open surgery based on 5- year data from the COST Study Group trial, Annals of Surgery, vol. 246, no. 4, pp , [7]E.Kuhry,W.Schwenk,R.Gaupset,U.Romild,andJ.Bonjer, Long-term outcome of laparoscopic surgery for colorectal cancer: a cochrane systematic review of randomised controlled trials, Cancer Treatment Reviews, vol.34,no.6,pp , [8] M.H.vanderPas,E.Haglind,M.A.Cuestaetal., Laparoscopic versus open surgery for rectal cancer (COLOR II): short-term outcomes of a randomised, phase 3 trial, The Lancet Oncology, vol.14,no.3,pp ,2013. [9] D.G.Jayne,P.J.Guillou,H.Thorpeetal., Randomizedtrialof laparoscopic-assisted resection of colorectal carcinoma: 3-Year results of the UK MRC CLASICC trial group, Clinical Oncology,vol.25,no.21,pp ,2007. [10] M. Buunen, R. Veldkamp, W. C. Hop et al., Survival after laparo-scopic surgery versus open surgery for colon cancer: long-term outcome of a randomised clinical trial, The Lancet Oncology,vol.10,no.1,pp.44 52,2009. [11] T. Lourenco, A. Murray, A. Grant, A. McKinley, Z. Krukowski, and L. Vale, Laparoscopic surgery for colorectal cancer: safe and effective? A systematic review, Surgical Endoscopy and other Interventional Techniques, vol.22,no.5,pp , [12]J.C.M.Li,A.W.I.Lo,S.S.F.Hon,S.S.M.Ng,J.F.Y.Lee, and K. L. Leung, Institution learning curve of laparoscopic colectomy-a multi-dimensional analysis, International Journal of Colorectal Disease,vol.27,no.4,pp ,2012. [13]C.A.Vaccaro,G.L.Rossi,G.O.Quintana,E.R.Soriano, H. Vaccarezza, and F. Rubinstein, Laparoscopic colorectal resections: a simple predictor model and a stratification risk for conversion to open surgery, Diseases of the Colon & Rectum, vol.57,no.7,pp ,2014. [14] R. R. Cima, I. Hassan, V. P. Poola et al., Failure of institutionally derived predictive models of conversion in laparoscopic colorectal surgery to predict conversion outcomes in an independent data set of 998 laparoscopic colorectal procedures, Annals of Surgery,vol.251,no.4,pp ,2010. [15] C.Platell,N.Barwood,G.Dorfmann,andG.Makin, Theincidence of anastomotic leaks in patients undergoing colorectal surgery, Colorectal Disease, vol. 9, no. 1, pp , 2007.
6 6 Minimally Invasive Surgery [16]C.E.Reinke,S.Showalter,N.N.Mahmoud,andR.R.Kelz, Comparison of anastomotic leak rate after colorectal surgery using different databases, Diseases of the Colon and Rectum,vol. 56, no. 5, pp , [17]M.Kelly,A.Bhangu,P.Singh,J.E.F.Fitzgerald,andP.P. Tekkis, Systematic review and meta-analysis of trainee versus expert surgeon-performed colorectal resection, British Journal of Surgery,vol.101,no.7,pp ,2014. [18] F. Köckerling, M. A. Reymond, C. Schneider et al., Prospective multicenter study of the quality of oncologic resections in patients undergoing laparoscopic colorectal surgery for cancer, Diseases of the Colon and Rectum, vol.41,no.8,pp , [19] K. Prakash, N. Kamalesh, K. Pramil, I. Vipin, A. Sylesh, and M. Jacob, Does case selection and outcome following laparoscopic colorectal resection change after initial learning curve? Analysis of 235 consecutive elective laparoscopic colorectal resections, Minimal Access Surgery,vol.9,no.3,pp ,2013. [20] The Clinical Outcomes of Surgical Therapy Study Group, A comparison of laparoscopically assisted and open colectomy for colon cancer, The New England Medicine,vol.350,no. 20, pp , [21] R. Veldkamp, M. Gholghesaei, H. J. Bonjer et al., Laparoscopic resection of colon cancer: consensus of the European Association of Endoscopic Surgery (E.A.E.S.), Surgical Endoscopy and other Interventional Techniques,vol.18,no.8,pp , 2004.
7 MEDIATORS of INFLAMMATION The Scientific World Journal Gastroenterology Research and Practice Diabetes Research International Endocrinology Immunology Research Disease Markers Submit your manuscripts at BioMed Research International PPAR Research Obesity Ophthalmology Evidence-Based Complementary and Alternative Medicine Stem Cells International Oncology Parkinson s Disease Computational and Mathematical Methods in Medicine AIDS Behavioural Neurology Research and Treatment Oxidative Medicine and Cellular Longevity
Kurumboor Prakash, N P Kamalesh, K Pramil, I S Vipin, A Sylesh, Manoj Jacob
Original Article Does case selection and outcome following laparoscopic colorectal resection change after initial learning curve? Analysis of 235 consecutive elective laparoscopic colorectal resections
More informationClinical Study Three Ports Laparoscopic Resection for Colorectal Cancer: A Step on Refining of Reduced Port Surgery
ISRN Surgery, Article ID 781549, 5 pages http://dx.doi.org/10.1155/2014/781549 Clinical Study Three Ports Laparoscopic Resection for Colorectal Cancer: A Step on Refining of Reduced Port Surgery Anwar
More informationLaparoscopic Resection Of Colon & Rectal Cancers. R Sim Centre for Advanced Laparoscopic Surgery, TTSH
Laparoscopic Resection Of Colon & Rectal Cancers R Sim Centre for Advanced Laparoscopic Surgery, TTSH Feasibility and safety Adequacy - same radical surgery as open op. Efficacy short term benefits and
More informationR. J. L. F. Loffeld, 1 P. E. P. Dekkers, 2 and M. Flens Introduction
ISRN Gastroenterology Volume 213, Article ID 87138, 5 pages http://dx.doi.org/1.1155/213/87138 Research Article The Incidence of Colorectal Cancer Is Decreasing in the Older Age Cohorts in the Zaanstreek
More informationCorrespondence should be addressed to Taha Numan Yıkılmaz;
Advances in Medicine Volume 2016, Article ID 8639041, 5 pages http://dx.doi.org/10.1155/2016/8639041 Research Article External Validation of the Cancer of the Prostate Risk Assessment Postsurgical Score
More informationWe are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists. International authors and editors
We are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists 3,800 116,000 120M Open access books available International authors and editors Downloads Our
More informationThe Feasibility of Laparoscopic Surgery Compared to Open Surgery in Patients with T4 Colorectal Cancer Staged by Preoperative Computed Tomography
ORIGINAL ARTICLE pissn 2234-778X eissn 2234-5248 J Minim Invasive Surg 216;19(1):32-38 Journal of Minimally Invasive Surgery The Feasibility of Laparoscopic Surgery Compared to Open Surgery in Patients
More informationCitation for published version (APA): Bartels, S. A. L. (2013). Laparoscopic colorectal surgery: beyond the short-term effects
UvA-DARE (Digital Academic Repository) Laparoscopic colorectal surgery: beyond the short-term effects Bartels, S.A.L. Link to publication Citation for published version (APA): Bartels, S. A. L. (2013).
More informationCase Report Transvaginal Hybrid NOTES Procedure for Treatment of Gallstone Ileus
Case Reports in Surgery Volume 2016, Article ID 9513874, 4 pages http://dx.doi.org/10.1155/2016/9513874 Case Report Transvaginal Hybrid NOTES Procedure for Treatment of Gallstone Ileus Takuya Shiraishi,
More informationGuidelines for Laparoscopic Resection of Curable Colon and Rectal Cancer
SAGES Society of American Gastrointestinal and Endoscopic Surgeons http://www.sages.org Guidelines for Laparoscopic Resection of Curable Colon and Rectal Cancer Author : SAGES Webmaster PREAMBLE The following
More informationLaparoscopic Colorectal Surgery
Laparoscopic Colorectal Surgery 20 th November 2015 Dr Adam Cichowitz General Surgeon Laparoscopic Colorectal Surgery Introduced in early 1990s Uptake slow Steep learning curve Requirement for equipment
More informationCase Report Overlap of Acute Cholecystitis with Gallstones and Squamous Cell Carcinoma of the Gallbladder in an Elderly Patient
Case Reports in Surgery Volume 2015, Article ID 767196, 4 pages http://dx.doi.org/10.1155/2015/767196 Case Report Overlap of Acute Cholecystitis with Gallstones and Squamous Cell Carcinoma of the Gallbladder
More informationHow much colon should be resected?
Colon Cancer Surgical Standard of Care and Operative Techniques Madhulika G. Varma MD Professor and Chief Section of Colorectal Surgery University of California, San Francisco How much colon should be
More informationCurrent innovations in colorectal surgery
Current innovations in colorectal surgery KS Chapple Consultant Colorectal Surgeon Sheffield Teaching Hospitals NHS Trust Do we need more innovations? What innovations are there and are they worthwhile?
More informationCase Report Five-Year Survival after Surgery for Invasive Micropapillary Carcinoma of the Stomach
Case Reports in Surgery Volume 2013, Article ID 560712, 4 pages http://dx.doi.org/10.1155/2013/560712 Case Report Five-Year Survival after Surgery for Invasive Micropapillary Carcinoma of the Stomach Shigeo
More informationResearch Article The Cost of Prolonged Hospitalization due to Postthyroidectomy Hypocalcemia: A Case-Control Study
Advances in Endocrinology, Article ID 954194, 4 pages http://dx.doi.org/10.1155/2014/954194 Research Article The Cost of Prolonged Hospitalization due to Postthyroidectomy Hypocalcemia: A Case-Control
More informationLongterm Complications of Hand-Assisted Versus Laparoscopic Colectomy
Longterm Complications of Hand-Assisted Versus Laparoscopic Colectomy Toyooki Sonoda, MD, Sushil Pandey, MD, Koiana Trencheva, BSN, Sang Lee, MD, Jeffrey Milsom, MD, FACS BACKGROUND: STUDY DESIGN: Hand-assisted
More informationSynchronous Hepatic Cryotherapy and Resection
HPB Surgery, 2000, Vol. 11, pp. 379-382 Reprints available directly from the publisher Photocopying permitted by license only (C) 2000 OPA (Overseas Publishers Association) N.V. Published by license under
More informationIs the number of lymph nodes retrieved in laparoscopic colorectal cancer resections related to the learning curve of the surgeon?
ORIGINAL ARTICLE Is the number of lymph nodes retrieved in laparoscopic colorectal cancer resections related to the learning curve of the surgeon? O. Aly 1, E MacDonald 2, C Watkins 2, G I Murray 3, E
More informationIndex. Note: Page numbers of article titles are in boldface type.
Note: Page numbers of article titles are in boldface type. A Abdominoperineal excision, of rectal cancer, 93 111 current controversies in, 106 109 extent of perineal dissection and removal of pelvic floor,
More informationLaparoscopic Surgery for Rectal Carcinoma An Experience of 20 Cases in a Government
Laparoscopic Sugery World for Rectal Journal Carcinoma An of Laparoscopic Experience Surgery, of September-December 20 Cases in a Government 2008;1(3):53-57 Sector Hospital Laparoscopic Surgery for Rectal
More informationRepeat Single Incision Laparoscopic Surgery after Primary Single Incision Laparoscopic Surgery for Colorectal Disease
ORIGINAL ARTICLE pissn 2234-778X eissn 2234-5248 J Minim Invasive Surg 2018;21(1):38-42 Journal of Minimally Invasive Surgery Repeat Single Incision Laparoscopic Surgery after Primary Single Incision Laparoscopic
More informationCan Robotics be useful to a General Surgeon Performing Colorectal Surgery? Curtis L. Peery MD April 27 th 2018 Throckmorton Surgical Society
Can Robotics be useful to a General Surgeon Performing Colorectal Surgery? Curtis L. Peery MD April 27 th 2018 Throckmorton Surgical Society 1.Intuitive Surgical 2.C-Sats 3.Virtual Incision Study comparing
More informationLaparoscopy assisted versus open surgery for multiple colorectal cancers with two anastomoses: a cohort study
DOI 10.1186/s40064-016-1948-4 RESEARCH Open Access Laparoscopy assisted versus open surgery for multiple colorectal cancers with two anastomoses: a cohort study Hiroaki Nozawa *, Soichiro Ishihara, Koji
More informationGastrointestinal Feedings Post Op: What s the deal on beginning oral feedings?
Gastrointestinal Feedings Post Op: What s the deal on beginning oral feedings? Kate Willcutts, DCN, RD, CNSC University of Virginia Health System Charlottesville, VA kfw3w@virginia.edu Objectives 1. Discuss
More informationNational Bowel Cancer Audit. Detection and management of outliers: Clinical Outcomes Publication
National Bowel Cancer Audit Detection and management of outliers: Clinical Outcomes Publication November 2017 1 National Bowel Cancer Audit (NBOCA) Detection and management of outliers Clinical Outcomes
More informationClinical Study The Incidence and Management of Pleural Injuries Occurring during Open Nephrectomy
Advances in Urology Volume 2009, Article ID 948906, 4 pages doi:10.1155/2009/948906 Clinical Study The Incidence and Management of Pleural Injuries Occurring during Open Nephrectomy Ali Fuat Atmaca, Abdullah
More informationLaparoscopic right-sided colon resection for colon cancer has the control group so far been chosen correctly?
Pelz et al. World Journal of Surgical Oncology (2018) 16:117 https://doi.org/10.1186/s12957-018-1417-3 RESEARCH Open Access Laparoscopic right-sided colon resection for colon cancer has the control group
More informationCase Report Formation of a Tunnel under the Major Hepatic Vein Mouths during Removal of IVC Tumor Thrombus
Case Reports in Urology Volume 2013, Article ID 129632, 4 pages http://dx.doi.org/10.1155/2013/129632 Case Report Formation of a Tunnel under the Major Hepatic Vein Mouths during Removal of IVC Tumor Thrombus
More informationClinical Study Metastasectomy of Pulmonary Metastases from Osteosarcoma: Prognostic Factors and Indication for Repeat Metastasectomy
Respiratory Medicine Volume 2015, Article ID 570314, 5 pages http://dx.doi.org/10.1155/2015/570314 Clinical Study Metastasectomy of Pulmonary Metastases from Osteosarcoma: Prognostic Factors and Indication
More informationFeasibility of Emergency Laparoscopic Reoperations for Complications after Laparoscopic Surgery for Colorectal Cancer
ORIGINAL ARTICLE pissn 2234-778X eissn 2234-5248 J Minim Invasive Surg 2018;21(2):70-74 Journal of Minimally Invasive Surgery Feasibility of Emergency Laparoscopic Reoperations for Complications after
More informationA study evaluating the safety of laparoscopic radical operation for colorectal cancer
Original Article A study evaluating the safety of laparoscopic radical operation for colorectal cancer Min-Hua Zheng, Ai-Guo Lu, Bo Feng, Yan-Yan Hu, Jian-Wen Li, Ming-Liang Wang, Feng Dong, Jing-Li Cai,
More informationCOLON AND RECTAL CANCER
COLON AND RECTAL CANCER Mark Sun, MD Clinical Associate Professor of Surgery University of Minnesota No disclosures Objectives 1) Understand the epidemiology, management, and prognosis of colon and rectal
More informationColorectal non-inflammatory emergencies
Colorectal non-inflammatory emergencies Prof. Hesham Amer Professor of general surgery, Kasr Alainy hospital, Cairo university Dr. Doaa Mansour Dr. Ahmed Nabil Dr. Ahmed Abdel-Salam Lecturers of general
More informationClinical Study Changing Trends in Use of Laparoscopy: A Clinical Audit
Minimally Invasive Surgery, Article ID 562785, 4 pages http://dx.doi.org/10.1155/2014/562785 Clinical Study Changing Trends in Use of Laparoscopy: A Clinical Audit Ritu Khatuja, 1 Geetika Jain, 1 Sumita
More informationThe Binational Colorectal Cancer Audit. A/Prof Paul McMurrick Head, Cabrini Monash University Dept of Surgery 2017
The Binational Colorectal Cancer Audit A/Prof Paul McMurrick Head, Cabrini Monash University Dept of Surgery 2017 Binational Colorectal Cancer Database 2010 First Patient 2011 Contract between CMUDS and
More informationCase Report In Situ Split of the Liver When Portal Venous Embolization Fails to Induce Hypertrophy: A Report of Two Cases
Case Reports in Surgery Volume 2013, Article ID 238675, 4 pages http://dx.doi.org/10.1155/2013/238675 Case Report In Situ Split of the Liver When Portal Venous Embolization Fails to Induce Hypertrophy:
More informationOutcomes Following Surgery for Distal Rectal Cancers: A Comparison between Laparoscopic and Open Abdomino- Perineal Resection
ORIGINAL ARTICLE Outcomes Following Surgery for Distal Rectal Cancers: A Comparison between Laparoscopic and Open Abdomino- Perineal Resection K K Tan, FRCS (Edin), C S Chong, MRCS (Edin), C B Tsang, FRCS
More informationEndoscopic Ultrasonography Assessment for Ampullary and Bile Duct Malignancy
Diagnostic and Therapeutic Endoscopy, Vol. 3, pp. 35-40 Reprints available directly from the publisher Photocopying permitted by license only (C) 1996 OPA (Overseas Publishers Association) Amsterdam B.V.
More informationWORLD JOURNAL OF SURGICAL ONCOLOGY
Sawada et al. World Journal of Surgical Oncology (2015) 13:103 DOI 10.1186/s12957-015-0517-6 WORLD JOURNAL OF SURGICAL ONCOLOGY TECHNICAL INNOVATIONS Open Access Initial experiences of robotic versus conventional
More informationDIVERTICULAR DISEASE. Dr. Irina Murray Casanova PGY IV
DIVERTICULAR DISEASE Dr. Irina Murray Casanova PGY IV Diverticular Disease Colonoscopy Abdpelvic CT Scan Surgical Indications Overall, approximately 20% of patients with diverticulitis require surgical
More informationIndex. Note: Page numbers of article titles are in boldface type.
Note: Page numbers of article titles are in boldface type. A Adenocarcinoma, pancreatic ductal, laparoscopic distal pancreatectomy for, 61 Adrenal cortical carcinoma, laparoscopic adrenalectomy for, 114
More informationABSTRACT. KEY WORDS antibiotics; prophylaxis; hysterectomy
Infectious Diseases in Obstetrics and Gynecology 8:230-234 (2000) (C) 2000 Wiley-Liss, Inc. Wound Infection in Gynecologic Surgery Aparna A. Kamat,* Leo Brancazio, and Mark Gibson Department of Obstetrics
More informationMinimally Invasive Esophagectomy
Minimally Invasive Esophagectomy M A R K B E R R Y, M D A S S O C I AT E P R O F E S S O R D E PA R T M E N T OF C A R D I O T H O R A C I C S U R G E R Y S TA N F O R D U N I V E R S I T Y S E P T E M
More informationColostomy & Ileostomy
Colostomy & Ileostomy Indications, problems and preference By Waleed Omar Professor of Colorectal surgery, Mansoura University. Disclosure I have no disclosures. Presentation outline Stoma: Definition
More informationClinical Study Laparoscopic Surgery in Elderly Patients Aged 65 Years and Older with Gynecologic Disease
International Scholarly Research Network ISRN Obstetrics and Gynecology Volume 2012, Article ID 678201, 4 pages doi:10.5402/2012/678201 Clinical Study Laparoscopic Surgery in Elderly Patients Aged 65 Years
More informationCOLON AND RECTAL CANCER
No disclosures COLON AND RECTAL CANCER Mark Sun, MD Clinical Assistant Professor of Surgery University of Minnesota Colon and Rectal Cancer Statistics Overall Incidence 2016 134,490 new cases 8.0% of all
More informationLaparoscopic vs Robotic Rectal Cancer Surgery: Making it better!
Laparoscopic vs Robotic Rectal Cancer Surgery: Making it better! Francis Seow- Choen Medical Director Seow-Choen Colorectal Centre Singapore In all situations: We have to use the right tool for the job
More informationAlireza Bakhshaeekia and Sina Ghiasi-hafezi. 1. Introduction. 2. Patients and Methods
Plastic Surgery International Volume 0, Article ID 4578, 4 pages doi:0.55/0/4578 Clinical Study Comparing the Alteration of Nasal Tip Sensibility and Sensory Recovery Time following Open Rhinoplasty with
More informationWJOLS /jp-journals
10.5005/jp-journals-10007-1203 REVIEW ARTICLE Sachin Shashikant Ingle ABSTRACT Background: Worldwide about 782,000 people are diagnosed with colorectal cancer each year. Colorectal cancer is the third
More informationUniversity of Groningen. Colorectal Anastomoses Bakker, Ilsalien
University of Groningen Colorectal Anastomoses Bakker, Ilsalien IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document
More informationAnus,Rectum and Colon
JOURNAL OF THE Anus,Rectum and Colon http://journal-arc.jp ORIGINAL RESEARCH ARTICLE Short- and long-term outcomes following laparoscopic palliative resection for patients with incurable, asymptomatic
More informationGrand Rounds Laparoscopic Colectomy. 3/12/2007 UCHSC, R.Durbin
Grand Rounds Laparoscopic Colectomy 3/12/2007 UCHSC, R.Durbin DR 60 yo male with hx of Crohn s s for approx 15 yrs. Referred due to uncontrolled dz despite steroids with approx 10 bowel movements/day,
More informationCase Report Multiple Giant Cell Tumors of Tendon Sheath Found within a Single Digit of a 9-Year-Old
Case Reports in Orthopedics Volume 2016, Article ID 1834740, 4 pages http://dx.doi.org/10.1155/2016/1834740 Case Report Multiple Giant Cell Tumors of Tendon Sheath Found within a Single Digit of a 9-Year-Old
More informationInnovations in rectal cancer surgery TAMIS and transanal TME
Innovations in rectal cancer surgery TAMIS and transanal TME A.D Hoore MD PhD, EBSQ CR Chair Departement of Abdominal Surgery University Hospitals Leuven, Belgium Actual treatment in rectal Early rectal
More informationCase Report PET/CT Imaging in Oncology: Exceptions That Prove the Rule
Case Reports in Oncological Medicine Volume 2013, Article ID 865032, 4 pages http://dx.doi.org/10.1155/2013/865032 Case Report PET/CT Imaging in Oncology: Exceptions That Prove the Rule M. Casali, 1 A.
More informationCase Report Bilateral Distal Femoral Nailing in a Rare Symmetrical Periprosthetic Knee Fracture
Case Reports in Orthopedics, Article ID 745083, 4 pages http://dx.doi.org/10.1155/2014/745083 Case Report Bilateral Distal Femoral Nailing in a Rare Symmetrical Periprosthetic Knee Fracture Marcos Carvalho,
More informationResearch Article Opioid Use Is Not Associated with Incomplete Wireless Capsule Endoscopy for Inpatient or Outpatient Procedures
Diagnostic and erapeutic Endoscopy, Article ID 651259, 4 pages http://dx.doi.org/10.1155/2014/651259 Research Article Opioid Use Is Not Associated with Incomplete Wireless Capsule Endoscopy for Inpatient
More informationCase Report Metastatic Malignant Melanoma of Parotid Gland with a Regressed Primary Tumor
Case Reports in Otolaryngology Volume 2016, Article ID 5393404, 4 pages http://dx.doi.org/10.1155/2016/5393404 Case Report Metastatic Malignant Melanoma of Parotid Gland with a Regressed Primary Tumor
More informationSINGLE INCISION ENDOSCOPIC SURGERY (SIES)
EAES CONSENSUS CONFERENCE SINGLE INCISION ENDOSCOPIC SURGERY (SIES) STATEMENTS AND RECOMMENDATIONS EAES appreciates your input! Please give your opinion on the below statements and recommendations of the
More informationClinical Study Mucosal Melanoma in the Head and Neck Region: Different Clinical Features and Same Outcome to Cutaneous Melanoma
ISRN Dermatology Volume 2013, Article ID 586915, 5 pages http://dx.doi.org/10.1155/2013/586915 Clinical Study Mucosal Melanoma in the Head and Neck Region: Different Clinical Features and Same Outcome
More informationThe Learning Curve for Minimally Invasive Esophagectomy
The Learning Curve for Minimally Invasive Esophagectomy AATS Focus on Thoracic Surgery Mastering Surgical Innovation Las Vegas Nevada Oct. 27-28 2017 Scott J Swanson, M.D. Professor of Surgery Harvard
More informationHester Cheung Memorial Lecture
Hester Cheung Memorial Lecture STEVEN D WEXNER, MD, PHD (HON),FACS, FRCS, FRCS(ED) Director, Digestive Disease Center; Chairman, Department of Colorectal Surgery; Cleveland Clinic Florida Professor of
More informationResearch Article Urinary Catheterization May Not Adversely Impact Quality of Life in Multiple Sclerosis Patients
ISRN Neurology, Article ID 167030, 4 pages http://dx.doi.org/10.1155/2014/167030 Research Article Urinary Catheterization May Not Adversely Impact Quality of Life in Multiple Sclerosis Patients Rebecca
More informationLaparoscopic vs Open Total Mesorectal Excision for Rectal Cancer: A Clinical Comparative Study in a Government Sector Hospital
10.5005/jp-journals-10007-1197 ORIGINAL ARTICLE Laparoscopic vs Open Total Mesorectal Excision for Rectal Cancer: A Clinical Comparative Study in a Government Sector Hospital Manash Ranjan Sahoo, T Anil
More informationSingle incision vs conventional laparoscopic anterior resection for sigmoid colon cancer: a case-matched study
The American Journal of Surgery (2013) 206, 320-325 Clinical Science Single incision vs conventional laparoscopic anterior resection for sigmoid colon cancer: a case-matched study Seung-Jin Kwag, M.D.,
More information1. Background. increased sphincter preservation rate. Nonetheless, the 5- year disease-free survival and overall survival rates were
Gastroenterology Research and Practice Volume 2016, Article ID 7870815, 5 pages http://dx.doi.org/10.1155/2016/7870815 Research Article Does Extending the Waiting Time of Low-Rectal Cancer Surgery after
More informationHand-assisted laparoscopic surgery versus laparoscopic right colectomy: a meta-analysis
Wang et al. World Journal of Surgical Oncology (2017) 15:215 DOI 10.1186/s12957-017-1277-2 REVIEW Open Access Hand-assisted laparoscopic surgery versus laparoscopic right colectomy: a meta-analysis Guosen
More informationResearch Article Predictions of the Length of Lumbar Puncture Needles
Computational and Mathematical Methods in Medicine, Article ID 732694, 5 pages http://dx.doi.org/10.1155/2014/732694 Research Article Predictions of the Length of Lumbar Puncture Needles Hon-Ping Ma, 1,2
More informationWon Ho Han1, Amir Ben Yehuda2, Deok-Hee Kim1, Seung Geun Yang1, Bang Wool Eom1, Hong Man Yoon1, Young-Woo Kim1, Keun Won Ryu1 View this article at:
Original Article A comparative study of totally laparoscopic distal gastrectomy versus laparoscopic-assisted distal gastrectomy in gastric cancer patients: Short-term operative outcomes at a high-volume
More informationProf. Dr. Ahmed ElGeidie Professor of General surgery GEC Dr. Ahmed Abdelrafee
Prof. Dr. Ahmed ElGeidie Professor of General surgery GEC Dr. Ahmed Abdelrafee Diverticulosis of the colon is the presence of pockets in the wall of the colon called diverticula which may, or may not,
More informationCase Report An Undescribed Monteggia Type 3 Equivalent Lesion: Lateral Dislocation of Radial Head with Both-Bone Forearm Fracture
Case Reports in Orthopedics Volume 2016, Article ID 8598139, 5 pages http://dx.doi.org/10.1155/2016/8598139 Case Report An Undescribed Monteggia Type 3 Equivalent Lesion: Lateral Dislocation of Radial
More informationNational trends in the uptake of laparoscopic resection for colorectal cancer,
National trends in the uptake of laparoscopic resection for colorectal cancer, 2000 2008 Bridie S Thompson, Michael D Coory and John W Lumley ABSTRACT Objective: To examine the trends in the uptake of
More informationCase Report Tortuous Common Carotid Artery: A Report of Four Cases Observed in Cadaveric Dissections
Case Reports in Otolaryngology Volume 2016, Article ID 2028402, 4 pages http://dx.doi.org/10.1155/2016/2028402 Case Report Tortuous Common Carotid Artery: A Report of Four Cases Observed in Cadaveric Dissections
More informationCase Report Internal Jugular Vein Thrombosis in Isolated Tuberculous Cervical Lymphadenopathy
Volume 2016, Article ID 5184196, 4 pages http://dx.doi.org/10.1155/2016/5184196 Case Report Internal Jugular Vein Thrombosis in Isolated Tuberculous Cervical Lymphadenopathy Sanjay Khaladkar, Avadhesh
More informationCase Report Long-Term Outcomes of Balloon Dilation for Acquired Subglottic Stenosis in Children
Case Reports in Otolaryngology, Article ID 304593, 4 pages http://dx.doi.org/10.1155/2014/304593 Case Report Long-Term Outcomes of Balloon Dilation for Acquired Subglottic Stenosis in Children Aliye Filiz
More informationSECONDARIES: A PRELIMINARY REPORT
HPB Surgery, 1990, Vol. 2, pp. 69-72 Reprints available directly from the publisher Photocopying permitted by license only 1990 Harwood Academic Publishers GmbH Printed in the United Kingdom CASE REPORTS
More informationClinical outcome of laparoscopic and open colectomy for right colonic carcinoma
GENERAL SURGERY doi 10.1308/147870811X13137608455299 Clinical outcome of laparoscopic and open colectomy for right colonic carcinoma JS Khan, AK Hemandas, KG Flashman, A Senapati, D O Leary, A Parvaiz
More informationIndex. Note: Page numbers of article title are in boldface type.
Index Note: Page numbers of article title are in boldface type. A Abscess(es) in Crohn s disease, 168 169 IPAA and, 110 114 as unexpected finding in colorectal surgery, 46 Adhesion(s) trocars-related laparoscopy
More informationInfluence of multiple stapler firings used for rectal division on colorectal anastomotic leak rate
Surg Endosc (2017) 31:5318 5326 DOI 10.1007/s00464-017-5611-0 and Other Interventional Techniques Influence of multiple stapler firings used for rectal division on colorectal anastomotic leak rate Tamara
More informationResearch Article The Impact of the Menstrual Cycle on Perioperative Bleeding in Vitreoretinal Surgery
Hindawi Ophthalmology Volume 2017, Article ID 9549284, 4 pages https://doi.org/10.1155/2017/9549284 Research Article The Impact of the Menstrual Cycle on Perioperative Bleeding in Vitreoretinal Surgery
More informationHandling & Grossing of Colo-rectal Specimens for Tumours. for Medical Officers in Pathology
Handling & Grossing of Colo-rectal Specimens for Tumours for Medical Officers in Pathology Dr Gayana Mahendra Department of Pathology Faculty of Medicine University of Kelaniya Your Role in handling colorectal
More informationT3 NSCLC: Chest Wall, Diaphragm, Mediastinum
for T3 NSCLC: Chest Wall, Diaphragm, Mediastinum AATS Postgraduate Course April 29, 2012 Thomas A. D Amico MD Professor of Surgery, Chief of Thoracic Surgery Duke University Health System Disclosure No
More informationDetermining the Optimal Surgical Approach to Esophageal Cancer
Determining the Optimal Surgical Approach to Esophageal Cancer Amit Bhargava, MD Attending Thoracic Surgeon Department of Cardiovascular and Thoracic Surgery Open Esophagectomy versus Minimally Invasive
More informationEvaluation of the National Training Programme for Laparoscopic Colorectal Surgery of England (Lapco)
Evaluation of the National Training Programme for Laparoscopic Colorectal Surgery of England (Lapco) Mr Hugh Mackenzie, Dr Melody Ni, Mr Danilo Miskovic, Mr Mark Coleman, Professor George Hanna National
More informationComparative study of oncologic outcomes for laparo scopic vs. open surgery in transverse colon cancer
ORIGINAL ARTICLE pissn 2288-6575 eissn 2288-6796 http://dx.doi.org/10.4174/astr.2014.86.1.28 Annals of Surgical Treatment and Research Comparative study of oncologic outcomes for laparo scopic vs. open
More informationResearch Article Comparison of Colour Duplex Ultrasound with Computed Tomography to Measure the Maximum Abdominal Aortic Aneurysmal Diameter
International Vascular Medicine, Article ID 574762, 4 pages http://dx.doi.org/10.1155/2014/574762 Research Article Comparison of Colour Duplex Ultrasound with Computed Tomography to Measure the Maximum
More informationOriginal Article A preliminary comparison of clinical efficacy between laparoscopic and open surgery for the treatment of colorectal cancer
Int J Clin Exp Med 2016;9(1):341-345 www.ijcem.com /ISSN:1940-5901/IJCEM0015805 Original Article A preliminary comparison of clinical efficacy between laparoscopic and open surgery for the treatment of
More information11/21/13 CEA: 1.7 WNL
Case Scenario 1 A 70 year-old white male presented to his primary care physician with a recent history of rectal bleeding. He was referred for imaging and a colonoscopy and was found to have adenocarcinoma.
More informationManagement of Perforated Colon Cancers
Management of Perforated Colon Cancers Introduction Colon and rectal cancers are the most common gastrointestinal cancers. They are 3 rd most common and 2 nd most common causes of cancer deaths among men
More informationThe Laparoscopic Approach in the Treatment of Distal Colorectal Cancer
The Open Colorectal Cancer Journal, 2011, 4, 13-17 13 Open Access The Laparoscopic Approach in the Treatment of Distal Colorectal Cancer Alexander Lebedyev 1, Damien Urban 2, Danny Rosin 1, Amram Ayalon
More informationSurgical and pathological outcomes after right hemicolectomy: case-matched study comparing robotic and open surgery
THE INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY Int J Med Robotics Comput Assist Surg 2011; 7: 298 303. Published online 11 May 2011 in Wiley Online Library (wileyonlinelibrary.com).398
More informationCase Report Complete Obstruction of Endotracheal Tube in an Infant with a Retropharyngeal and Anterior Mediastinal Abscess
Hindawi Case Reports in Pediatrics Volume 2017, Article ID 1848945, 4 pages https://doi.org/10.1155/2017/1848945 Case Report Complete Obstruction of Endotracheal Tube in an Infant with a Retropharyngeal
More informationComplex Thoracoscopic Resections for Locally Advanced Lung Cancer
Complex Thoracoscopic Resections for Locally Advanced Lung Cancer Duke Thoracoscopic Lobectomy Workshop March 21, 2018 Thomas A. D Amico MD Gary Hock Professor of Surgery Section Chief, Thoracic Surgery,
More informationCase Report Cytomegalovirus Colitis with Common Variable Immunodeficiency and Crohn s Disease
Volume 2015, Article ID 348204, 4 pages http://dx.doi.org/10.1155/2015/348204 Case Report Cytomegalovirus Colitis with Common Variable Immunodeficiency and Crohn s Disease Betül Ünal, Cumhur Ebrahim BaGsorgun,
More informationResearch Article Development of Polyps and Cancer in Patients with a Negative Colonoscopy: A Follow-Up Study of More Than 20 Years
ISRN Gastroenterology, Article ID 261302, 4 pages http://dx.doi.org/10.1155/2014/261302 Research Article Development of Polyps and Cancer in Patients with a Negative Colonoscopy: A Follow-Up Study of More
More informationSINGLE INCISION LAPAROSCOPIC SURGERY
SINGLE INCISION LAPAROSCOPIC SURGERY DR ADEWALE ADISA CONSULTANT MINIMAL ACCESS SURGEON & SENIOR LECTURER DEPARTMENT OF SURGERY, OBAFEMI AWOLOWO UNIVERSITY, & OBAFEMI AWOLOWO UNIVERSITY TEACHING HOSPITALS
More informationExtracorporeal Versus Intracorporeal Anastomosis for Laparoscopic Right Hemicolectomy
SCIENTIFIC PAPER Extracorporeal Versus Intracorporeal Anastomosis for Laparoscopic Right Hemicolectomy Minia Hellan, MD, Casandra Anderson, MD, Alessio Pigazzi, MD, PhD ABSTRACT Background: During laparoscopic
More informationCover Page. The following handle holds various files of this Leiden University dissertation:
Cover Page The following handle holds various files of this Leiden University dissertation: http://hdl.handle.net/1887/6119 Author: Spruit, E.N. Title: Increasing the efficiency of laparoscopic surgical
More informationCase Report Uncommon Mixed Type I and II Choledochal Cyst: An Indonesian Experience
Case Reports in Surgery Volume 2013, Article ID 821032, 4 pages http://dx.doi.org/10.1155/2013/821032 Case Report Uncommon Mixed Type I and II Choledochal Cyst: An Indonesian Experience Fransisca J. Siahaya,
More information